Individual
LALIT KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1513 AZALEA CIR, ROMEOVILLE, IL 60446-4987
(573) 529-4309
Mailing address
1513 AZALEA CIR, ROMEOVILLE, IL 60446-4987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010884
IL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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